Individual provider Active NPI

Emmanuella J Isme

  • Behavior Analyst
  • Killeen, TX
National Provider Identifier
1801562558
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
8479 Issued in TX
Practice address
3000 Illinois Ave
Killeen, TX 76543-5371
Phone
(234) 402-4800
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 8479 TX Primary

Addresses

Primary practice location

3000 Illinois Ave
Killeen, TX 76543-5371

Mailing address

4003 W Stan Schlueter Loop Ste 201
Killeen, TX 76549-6119
Phone (254) 630-1578

Other practice location 1

4003 W Stan Schlueter Loop Ste 201
Killeen, TX 76549-6119
Phone (254) 630-1578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8479TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Ayala's Therapist Behavior Analyst CurrentSince Jan 1, 2022 Accepting new patients

Locations

4003 W Stan Schlueter Loop
Ste 201
Killeen, TX 76549
Phone (254) 630-1578

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1801562558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 W STAN SCHLUETER LOOP STE 201",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496119",
            "telephone_number": "254-630-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ILLINOIS AVE",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435371",
            "telephone_number": "234-402-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4003 W Stan Schlueter Loop Ste 201",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765496119",
            "country_code": "US",
            "telephone_number": "254-630-1578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISME",
        "first_name": "EMMANUELLA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "8479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.